Healthcare Provider Details

I. General information

NPI: 1851255350
Provider Name (Legal Business Name): HOLLY MARIGLIANO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 N DILLEYS RD STE 201
GURNEE IL
60031-1721
US

IV. Provider business mailing address

1761 N DILLEYS RD STE 201
GURNEE IL
60031-1721
US

V. Phone/Fax

Practice location:
  • Phone: 224-419-5053
  • Fax: 224-207-5285
Mailing address:
  • Phone: 224-419-5053
  • Fax: 224-207-5285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178022506
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: